Seizure Disorders USMLE Step 1 Practice Question
A 7-year-old boy is brought to the ED after experiencing two brief episodes of staring, unresponsiveness, and lip smacking lasting 10-15 seconds each, separated by 2 hours. During episodes, his eyes flutter and he doesn't respond to his mother. EEG shows a 3 Hz spike-and-wave pattern. Which of the following is the most likely diagnosis?
Answer choices
- AAtonic seizure
- BTemporal lobe epilepsy
- CFocal seizure with impaired awareness
- DAbsence seizure (petit mal epilepsy)Correct answer
- EGeneralized tonic-clonic seizure
- FJuvenile myoclonic epilepsy
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